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Analysis of parameters influencing intraarticular temperature during radiofrequency use in shoulder arthroscopy

  • Original Article • SHOULDER - ARTHROPLASTY
  • Published:
European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Purpose

The aim of this study was to analyze the influence of several factors on the temperature in the work chamber during shoulder arthroscopy procedures in order to identify danger zones when using radiofrequency.

Methods

Intraarticular temperature was measured intraoperatively using system with special probe that directly measured the temperature in 22 patients. Data collection was prospective. The main parameters studied were the measurement of the temperature depending on: localization of the procedure (glenohumeral or subacromial), the use of coagulation or ablation, the number of portals, the pressure of the arthropump, the time of use, the blood pressure and the temperature of the operating room.

Results

Ninety-three recordings were made. No complications were identified. Addition of a portal reduces the average elevation of 3.8 °C (p < 0.05). Ambient temperature above 19.15 °C with two portals leads to an average increase of 13.3 °C (p < 0.05). Increasing the pressure of the arthropump of 10 mmHg increases the temperature of 0.8 °C (p < 0.05). No significant difference was found on the change in blood pressure, location and mode of use.

Conclusions

These results show the interest of controlling these factors when performing shoulder arthroscopy procedure. This study identifies situations of high joint risk when using radiofrequency and thus to prevent secondary complications such as burns and massive chondrolyses.

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Authors and Affiliations

  1. Department of Orthopedic Surgery and Traumatology, Clinique Monticelli-Vélodrome (Groupe Ramsay Générale de Santé), 10 Allée Marcel Leclerc, 13008, Marseille, France

    Matthieu Chivot, Stéphane Airaudi, Alexandre Galland & Renaud Gravier

  2. Aix-Marseille University, CNRS, ISM, UMR 7287, 13288, Marseille, France

    Matthieu Chivot

Authors
  1. Matthieu Chivot
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  2. Stéphane Airaudi
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  4. Renaud Gravier
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Correspondence to Matthieu Chivot.

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This study was the subject of a presentation to the French Arthroscopy Society in December 2017.

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Chivot, M., Airaudi, S., Galland, A. et al. Analysis of parameters influencing intraarticular temperature during radiofrequency use in shoulder arthroscopy. Eur J Orthop Surg Traumatol 29, 1205–1210 (2019). https://doi.org/10.1007/s00590-019-02419-1

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  • DOI: https://doi.org/10.1007/s00590-019-02419-1

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